Kavanaugh, Scott
Kavanaugh, Scott is an individual health care provider with primary practice located at 801 Nw Saint Mary Dr Ste 102 , Blue Springs MO 64014-2539. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kavanaugh, Scott can be contacted via phone (816) 229-6622.Contact Information
Primary practice address
801 Nw Saint Mary Dr Ste 102
Blue Springs MO 64014-2539
Phone: (816) 229-6622
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1689790529 |
|---|---|
| LBN Legal business name | Kavanaugh, Scott |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689790529 | NPPES |
| Kansas | Other | 2240 | LICENSE# |
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